Organization
SLK NURSING ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KAMB CRNA (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
9674 ARCHIBALD AVE STE 125, RANCHO CUCAMONGA, CA 91730-7944
(909) 989-4100
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3306
CA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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